Conclusions:
Patients undergoing spinal manipulative therapy should be informed of
the risk of stroke or vascular injury that could cause significant
morbidity or even mortality from this procedure. Furthermore, we
recommend increasing the awareness of the public about the potential
complications from SMT and updating the International Federation of
Orthopedic Manipulative Physical Therapists (IFOMPT) framework to
incorporate Eagle’s syndrome in a comprehensive assessment, and
palpation of the stylohyoid complex to help safe practice.